Patent foramen ovale e ingane - iyimbangela yokukhathazeka?

Vula iwindi okusaqanda kule osanda kuzalwa imbobo septum atrial, okuyinto linanomgudu lebhokisi Atria kwesokunxele nakwesokudla besekhona intrauterine ingane. Ngokuvamile, leli windi uvala emva kokuzalwa, kodwa ngezinye izikhathi le nqubo imisiwe. Lesi simo kwenza abazali ukhathazwa futhi ningakhathazeki.

Lisho ukuthini-patent foramen ovale ezingenzeka embungwini?

Iqiniso lokuthi i-fetus e ilungelo ingcindezi atrial mkhulu ngakwesokunxele. Lokhu kuholela yokuthi ekushayweni igazi senzeka kusuka kwesokudla kuya kwesokunxele, ngaleyo ndlela ukuqinisekisa ukugeleza kwegazi ukuze i-ventricle engakwesobunxele. Esimweni lapho kukhona iwindi ukuvala e senyanga yokuqala, ke kungase kubangele ukuthuthukiswa yilesi sifo njengoba hypoplastic inhliziyo kwesokunxele.

Ngezinye izigaba kamuva ubukhulu enganele kungaholela-sindisa wenhliziyo kwesokudla, okungaholela thuthuva sína ukuthuthukiswa umbungu, futhi ngezinye izikhathi nokufa. Ngakho-ke, okuvulekile foramen patent ovale ukhonza ukuqinisekisa igazi eligciniwe nesifunda brachiocephalic futhi ibalulekile nokuvuthwa okusheshayo zobuchopho. Ngezinye izikhathi ukuba iwindi kudidaniswe isici atrial septal. Nokho, abazoba abazali kufanele aqonde ukuthi umehluko oyinhloko kuba phambi valve, esehlanganise ATRIUM kusukela ohlangothini lwesobunxele. Ngokuvamile, khona layo kuyadingeka.

Ngemva ingane ibelethwe futhi kwenza ukukhala lokuqala, emaphashini akhe waqonda. Lokhu kuholela waba ukwanda okukhulu kwezincwadi ukugeleza kwegazi. Ingcindezi ku kwesokunxele ATRIUM inyuka, okuholela kuvalwe ovale foramen. Ngezinye izikhathi, ngenxa yokuntuleka kwezinhlelo ezibanzi izinqubo sokugembula, foramen patent ovale uvala at isikhathi esiyizinyanga ezimbili unyaka.

Lesi sici itholakala inqubo ukulalela inhliziyo IselulekoSesihenqo njengoba foramen patent ovale ngokuvamile imbangela inhliziyo umsindo. Ukuze uqinisekise uphethwe isazi sezifo zezingane ingathunyelwa ku-ECG kanye ultrasound inhliziyo.

Kungani ngezinye izikhathi ayinayo uvala iwindi?

Nokho, kwezinye izimo, ukuvalwa akuthathi indawo ngalesi sikhathi. Patent foramen ovale itholakala kwamaphesenti angu-50 ezineminyaka engaphansi kwemihlanu ubudala futhi amaphesenti angu-10 abantu abadala. Kulokhu, awusebenzi aphazamise umsebenzi ezisekujuleni kwenhliziyo futhi akuvamile zidinga ukungenela nodokotela ohlinzayo. Ngakho-ke, ukuba khona i windi livuliwe ezinsaneni hhayi Kuyinto isizathu sokukhathazeka.

Nokho, asikho isidingo ukudebeselela isimo, kufanele olunye uhlole ingane, ngoba leli qiniso is ngezinye izikhathi zihambisana zokuphefumula ukucindezeleka syndrome (isifo esihlobene namaphaphu). Kwezinye izimo, ukuvalwa kwendawo imbobo akunakwenzeka nge kombungu esizalweni, lapho kwaba umphumela esisuka ezindongeni Atria. Futhi kubangela kungenzeka khona izifo ezifana dysplasia zezinzwa futhi utshwala embryopathy.

Ngaphezu kwalokho, ukuba khona PFO ingamboziwe kungabangela ukuthuthukiswa embolism nakuba. Kulokhu, emboli (izinhlayiya emihle, ama-bacterium, igesi Bubbles) ezenzeka ATRIUM kwesokudla, ukungena ohlangothini lwesobunxele inhliziyo. Uma esikhathini esizayo ngeke singene ubuchopho, kungabangela nemiphumela emibi kakhulu, kuhlanganise nokufa. Ngakho-ke, kubaluleke kakhulu ukuba sihlole umntwana, futhi isikhathi esichithwa ekwelapheni isifo senhliziyo kuzosiza ukuze asindise ukuphila kwakhe.